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Academic Records Request Form

This form is used to request the release of academic records from the institution where an applicant received their credentials. The applicant fills out section A with their personal details and authorizes the release of records to IQAS. The institution completes section B, verifies the applicant's information, and sends the sealed academic records to IQAS for assessment.

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473 views1 page

Academic Records Request Form

This form is used to request the release of academic records from the institution where an applicant received their credentials. The applicant fills out section A with their personal details and authorizes the release of records to IQAS. The institution completes section B, verifies the applicant's information, and sends the sealed academic records to IQAS for assessment.

Uploaded by

DiyaNegi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Request of Academic Records

This form should be used to request the release of academic records by an academic institution. Each applicant needs to contact the
academic institution directly. Please fill-in Section A and submit the form to the registrar or other authorized authority in the institution
where you received your credential(s).

Section A (For applicants)


Last/Family Name

First Name

Previous Last/Family Name (if applicable)

First Name

Institution Name

Country

Dates Attended:

From

To:

Year Awarded:

Degree Name

Major

Student ID at the Institution:

IQAS Reference Number:

I hereby authorize the release of my academic records to the International Qualification Assesment Service (IQAS).
Applicants signature: _____________________________________ _Date: ___________________

Section B (For authorized officials)


The person named above requests that the academic records be released to International Qualification Assessment Service (IQAS).
The released records should show all subjects completed and all grades/marks awarded for all years of study. Please complete this
form, package it with the academic record(s) in a sealed envelope that is signed and stamped with the institutions official seal across
the back flap.

Institution Name

Degree Awarded

First and Last Name of official completing the form (please print)

Program length

Date Awarded

Title

Telephone

Email

The academic records are enclosed with this form: Yes

Authorized signature ____________________________ Seal: ______________________ Date: _________________


Please send the package to: International Qualifications Assessment Service (IQAS)

9th floor, 9942 108 Street


Edmonton, AB T5K 2J5 Canada

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